Organization
CADDELL FAMILY DENTISTRY, PLLC
Active
Other names
Cliff Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS GLENN CADDELL D.D.S. (OWNER/DENTIST)
(940) 549-6092
Entity
Organization
Contact information
Practice address
501 CLIFF DR, GRAHAM, TX 76450-3327
(940) 549-6092
(940) 549-3970
Mailing address
501 CLIFF DR, GRAHAM, TX 76450-3327
(940) 549-6092
(940) 549-3970
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
12625
TX
1223G0001X
General Practice Dentistry
Primary
22825
TX
Other
Enumeration date
04/24/2012
Last updated
11/12/2014
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